Adult Disability Care in Perham, MN: In-Home Support

Local figures

Disability Care for Adults in Perham, MN: the local picture

13%

of residents aged 18 to 64 have a disability (12% in Otter Tail County)

125

residents aged 18 to 64 have difficulty doing errands alone

12%

of households have no vehicle (5.6% in Otter Tail County)

6

Medicare-certified home health agencies list Perham ZIP codes in their service area

About 229 Perham residents aged 18 to 64 report a disability (13%; 12% in Otter Tail County).

125 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.

12% of Perham households have no vehicle (5.6% in Otter Tail County); say in your posting if you need a caregiver who drives.

Perham compared with Otter Tail County and Minnesota

Census figure	Perham	Otter Tail County	Minnesota
Residents 18 to 64 with a disability	13%	12%	9.7%
Residents 18 to 64 with difficulty doing errands alone	7.0%	5.6%	3.7%
Households with no vehicle	12%	5.6%	6.7%
Residents 5+ who speak a language other than English at home	14%	4.6%	12%
Residents 65+ with a disability	47%	28%	28%
Residents 65+ below the poverty line (approx.)	22%	8.4%	8.8%
Median income, households headed by someone 65+	$45,833	$53,778	—

Older residents in towns around Perham

Town	Distance	Residents 65+	Disability (18 to 64)
Detroit Lakes, MN	19 mi	2,539	17%
Wadena, MN	24 mi	803	19%
Pelican Rapids, MN	24 mi	444	15%
Fergus Falls, MN	32 mi	3,663	21%
Park Rapids, MN	33 mi	1,210	20%
Barnesville, MN	40 mi	359	3.7%

Home health agencies serving Perham

Agency	Office	Distance	CMS quality stars	Services listed	Phone
Aveanna Home Health	Waite Park, MN	97 mi	4.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, home health aides	(320) 774-0777
Essentia Health Home Care West	Detroit Lakes, MN	20 mi	4 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(218) 847-0808
Perham Living Home Care	Perham, MN	0.3 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(218) 347-1880
Sanford Home Care Fargo	Fargo, ND	61 mi	3.5 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(701) 234-4900
Vivie Home Health	Alexandria, MN	51 mi	3 of 5	nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides	(320) 759-1273

Straight-line miles from the center of Perham. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.

What it covers

What a disability support caregiver can help with

Personal care, on the person’s terms
Cooking, shopping and housekeeping
Getting to work, school, appointments and activities
Keeping routines the person sets

Cost

What disability care for adults costs in Perham

At the Minnesota median aide wage of $18.45 an hour, 20 hours of help a week comes to about $1,599 a month in wages, which is 42% of the $3,819 monthly median income of Perham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Minnesota's minimum wage is $11.41 an hour (U.S. Department of Labor table, updated July 1, 2026).

Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see Medicaid programs for family caregivers: who can be paid, and the rules in 12 states.

Before you hire

What to know before hiring a disability support caregiver

Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.

Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.

CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.

Questions

Disability Care for Adults in Perham: common questions

How much does disability care for adults cost in Perham?

At the Minnesota median aide wage of $18.45 an hour, 20 hours of help a week comes to about $1,599 a month in wages, which is 42% of the $3,819 monthly median income of Perham households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Minnesota's minimum wage is $11.41 an hour (U.S. Department of Labor table, updated July 1, 2026).

Can an adult with a disability hire their own caregiver?

Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide Medicaid programs for family caregivers: who can be paid, and the rules in 12 states covers Minnesota.

More near Perham

More senior care near Perham

Disability Care for Adults in nearby cities

Other care in Perham

More for Perham families

Sources

Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.

In-Home Support for Adults With Disabilities in Perham, MN